Some of the conceptual, methodological, and logistical impediments to sound evaluations of jail-based drug-treatment programs are described. The focus is on a program in a large urban jurisdiction that illustrates difficulty in tracking clients and coordinating agency responses. Some suggestions are offered to help future researchers. (SLD)

Designed to help social service agencies achieve a comprehensive system of care for chemically dependent pregnant and postpartum women and their drug-exposed children, the model described in this report was developed by a panel of 12 experts in the field of perinatal addiction and drug exposure in infants. The report begins with an overview of…

While scholars are not in accord on the basic causes of contemporary drug abuse among minority Americans, most do agree that the social milieu of the drug abuser is fundamental. It has been urged that racism, poverty, police brutality and harrassment, the economics of addiction, the hopelessness of ghetto life, peer pressure, educational…

Describes efforts of residential treatment facilities to collaborate with community-based substance abuse programs to meet the needs of clients. Examines the rationale for and administrative, managerial, and clinical issues relevant to such collaboration. Illustrates the difficulties encountered in establishing effective program linkages and…

Addresses the issue of drug-exposed infants from the perspective of a reproductive rights attorney. States genuinely interested in promoting healthy children will stop ignoring women or treating them as potential child abusers and will change the current punitive legal focus to a focus on treatment. (SLD)

In a study to evaluate the drug treatment and aftercare efforts sponsored by the State Department's International Narcotics and Law Enforcement Affairs Bureau, residential Therapeutic Community (TC) treatment programs in three Latin American countries--Brazil, Peru and Argentina--were examined to identify promising practices and to assess lessons…

This report on drug abuse in the schools is based on the testimonies of several panels at a Congressional hearing. The materials contain reports from: (1) a group of students talking about their experiences with drugs, alcohol, and delinquency; (2) law enforcement officials and judicial representatives discussing innovative judicial approaches and…

Discusses treatment modalities for drug-abusing women. The following are barriers that prevent women, particularly pregnant women, from getting treatment they need: (1) lack of programs admitting women; (2) lack of programs tailored to women; and (3) fear and isolation experienced by drug-abusing women. (SLD)

Compared treatment needs and services received in six areas based on the Treatment Outcome Prospective Study and the Drug Abuse Treatment Outcome Studies for Adolescents (DATOS-A). Found a general decline in services received that was only partially offset by significant decreases in some self-reported service needs in DATOS-A. Unmet needs…

This book examines the growing epidemic of children born to mothers who use cocaine, particularly the highly addictive version known as "crack," focusing on the health and educational needs of such children. Nine chapters address: (1) the origins of cocaine use in the United States, as well as the chemical properties and physiological…

This report documents the planning and development of Families First, an early intervention program to be implemented in Marin City, California. The program has been designed to integrate and coordinate the provision of a wide range of services to families of children from the third trimester of pregnancy to the age of 8 years who live in a…

This paper describes an evaluation of a prevocational Work Experience Project called New Leaf, which offers unemployed homeless men and women the opportunity to acquire essential work-related social and employment skills in connection with vocational and educational services and drug-free treatment in a therapeutic community. The evaluation covers…

Alcohol education and rehabilitation programs are widely accepted as an integral part of the enforcement of drunk driving laws; however, careful evaluations of these programs generally fail to show subsequent beneficial effects on traffic crashes. This fact is due in part to the many barriers to conducting sound program evaluations and in part to…

This report presents case studies of nine successful programs designed to reduce alcohol and substance abuse among American Indians and Alaska Natives. These case studies highlight effective solutions developed within tribal communities and combining Western and traditional approaches to build upon the strengths of the respective Indian…

La Casita is a culturally relevant 6-month residential substance abuse treatment program in southeast Los Angeles County (California) for low income Latina women. Most participants are second and third generation Latinas who clearly identify themselves as being Hispanic but behave in a bicultural manner. The average La Casita resident is 30 years…